Individual
JANE MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1211 21ST AVE S STE 110, NASHVILLE, TN 37212-2717
(937) 478-2339
Mailing address
1211 21ST AVE S STE 110, NASHVILLE, TN 37212-2717
(937) 478-2339
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0000000423
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
LBA0000000423
TN
235Z00000X
Speech-Language Pathologist
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
05/30/2012
Last updated
07/29/2019
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